<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>个人信息</title>
<link rel="stylesheet" type="text/css" href="common/bootstrap/css/bootstrap.css" media="all">
<script type="text/javascript" src="common/bootstrap/js/jquery.min.js"></script>
<link href="common/bootstrap/css/bootstrap.min.css" rel="stylesheet">
<script src="common/bootstrap/js/bootstrap.min.js"></script>
<script src="common/bootstrap/js/jquery.cookie.js" type="text/javascript" charset="utf-8"></script>
<!-- 添加时候的，省市县下拉框展示 -->
<!-- <script type="text/javascript" src="js/Province_city_county.js"></script> -->
<script type="text/javascript" src="js/live.js"></script>
<script type="text/javascript" src="js/liveyz.js"></script>
</head>
<body>
	<div class="container">
		<div class="form-group col-sm-12" style="height: 50px;">
			<h2> <small style="color: red;"><b>居住信息：</b></small> </h2>
		</div>
		<form class="form-horizontal" role="form" id="livefrom" action="">
			<div class="form-group col-sm-12">
				<label for="firstname" class="col-sm-2 control-label" >居住方式:</label>
				<div class="col-sm-2">
					<select name="livepattenid" id="livepatten" class="form-control">
					</select>
				</div>
				<label for="firstname" class="col-sm-2 control-label" >居住事由:</label>
				<div class="col-sm-2">
					<select name="livingreasonsid" id="livingreasons" class="form-control">
					</select>
				</div>
				<label for="firstname" class="col-sm-2 control-label" >房屋类别:</label>
				<div class="col-sm-2">
					<select name="housecategoryid" id="housecategory"
						class="form-control">
					</select>
				</div>
			</div>
			<div class="form-group col-sm-12">
				<label for="firstname" class="col-sm-2 control-label" >居住类型:</label>
				<div class="col-sm-2">
					<select name="houseleixingid" id="houseleixing" class="form-control">
					</select>
				</div>
				<label for="firstname" class="col-sm-2 control-label" >居住用途:</label>
				<div class="col-sm-2">
					<select name="usageid" id="usage" class="form-control">
					</select>
				</div>
			</div>
			<label for="firstname" class="col-sm-2 control-label" style="color: red;">房屋地址</label>
			<div class="form-group col-sm-12" >
				<div class="form-group col-sm-12">
					<label for="firstname" class="col-sm-2 control-label">省</label>
					<div class="col-sm-2">
						<input name="province" id="province" class="form-control" readonly/>
					</div>
					<label for="firstname2" class="col-sm-1 control-label">市</label>
					<div class="col-sm-3">
						<input name="city" id="city" class="form-control" readonly/>
					</div>
					<label for="firstname" class="col-sm-1 control-label">县</label>
					<div class="col-sm-3">
						<input name="county" id="county" class="form-control" readonly/>
					</div>
				</div>
			</div>
			<div class="form-group col-sm-12" >
				<label for="firstname" class="col-sm-2 control-label">街路巷</label>
				<div class="col-sm-2">
					<input name="township" id="township" class="form-control" readonly>
				</div>
				<label for="firstname" class="col-sm-1 control-label">门楼排号</label>
				<div class="col-sm-3">
					<input name="village" id="village" class="form-control" readonly>
				</div>
				<label for="firstname" class="col-sm-1 control-label">门楼详址</label>
				<div class="col-sm-3">
					<input name="gates" id="gates" class="form-control" readonly>
				</div>

			</div>
			<div class="form-group col-sm-12">
				<label for="firstname" class="col-sm-2 control-label" style="color: red;">出租人状况</label>
				<table class="table table-bordered">
					<thead>
						<tr>
							<th>姓名</th>
							<th>联系电话</th>
							<th>身份证号</th>
							<th>是否签订责任书</th>
						</tr>
					</thead>
					<tbody>
						<tr>
							<td><input name="housename" id="housename"
								class="form-control" placeholder="请输入房东姓名"></td>
							<td><input name="telephone" id="housephone"
								class="form-control" placeholder="请输入手机号"></td>
							<td><input name="houseidcard" id="housemancard"
								class="form-control" placeholder="身份证号"></td>
							<td>
								<div class="form-group col-sm-12">
									<label class="radio-inline"> <input type="radio"
										id="inlineradio1" name="qianshuzrs" value="1" checked="checked">
										是
									</label> <label class="radio-inline"> <input type="radio"
										id="inlineradio2" name="qianshuzrs" value="2"> 否
									</label>
								</div>
							</td>
						</tr>
				</table>
				<span id="housephoneid"></span>
				<table class="table table-bordered">
					<thead>
						<tr>
							<th>代理人姓名</th>
							<th>代理人联系电话</th>
							<th>代理人身份证号</th>
							<th>是否签订责任书</th>
						</tr>
					</thead>
					<tbody>
						<tr>
							<td><input name="agent" id="agent" class="form-control"
								placeholder="请输入信息"></td>
							<td><input name="agenttelephone" id="agenttelephone"
								class="form-control" placeholder="请输入信息"></td>
							<td><input name="agentidcard" id="agentidcard"
								class="form-control" placeholder="身份证号"></td>
							<td>
								<div class="form-group col-sm-12">
									<label class="radio-inline"> <input type="radio"
										id="bb" name="agqianshuzrs" value="1"> 是
									</label> <label class="radio-inline"> <input type="radio"
										id="bb" name="agqianshuzrs" value="2"> 否
									</label>
								</div>
							</td>
						</tr>
				</table>
			</div>
			<div class="form-group col-sm-12">
				<label for="firstname" class="col-sm-2 control-label">信息录入员:</label>
				<div class="col-sm-3">
					<input name="infomation" id="infomation" class="form-control" placeholder=""><span id="infomationid"></span>
				</div>
			</div>
			<div class="form-group col-sm-12">
				<label for="firstname" class="col-sm-2 control-label"></label>
				<div class="col-sm-8">
					<input type="button" id="fromsub" class="btn btn-primary btn-block" value="提交" />
				</div>
			</div>
		</form>
	</div>
</body>
</html>